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通过复制犬急性呼酸动物模型,动态观察动脉血和脑脊液(CSF)酸碱变量发现,在动脉二氧化碳分压(PaCO2)和血浆[HCO_3~-]分别升高为3.999kpa和3mmol/L时,CSF二氧化碳分压(PCO2)升高值同血浆相似,而CSF(HCO_3~-)的改变值在两组之间有显著性差异(P<0.01)。6h时,Ⅰ组(脑室注入乙酰唑胺)CSF[HCO_3~-]平均升高为2.5mmol/L;Ⅱ组(脑室注射等量人工模拟CSF)CSF[HCO_3~-]平均升高为6mmol/L。结果说明:急性呼酸时,CSFHCO_3~-的形成主要来源于脑CO2的水化作用,乙酰唑胺能减少CSFHCO_3~-的形成。HCO_3~-形成过程中产生的H+可能部分由脑NH3缓冲。
By means of replicating animal models of acute bengal acupuncture, dynamic changes of acid-base and acid-base variables of arterial blood and cerebrospinal fluid (CSF) were observed. When arterial carbon dioxide partial pressure (PaCO2) and plasma [HCO_3 ~] increased to 3.999 kPa and 3 mmol / , CSF partial pressure of carbon dioxide (PCO2) increased with the plasma similar, and CSF (HCO_3 ~ -) changes in the two groups were significantly different (P <0.01). At 6h, the average CSF [HCO_3 ~] in group I (acetazolamide injected into the ventricle) increased to 2.5mmol / L, and the mean increase of CSF [HCO_3 ~] in group II (intraventricular injection of artificial simulated CSF) / L. The results showed that when acute acidosis, the formation of CSFHCO 3 ~ - mainly comes from the hydration of cerebral CO2, and acetazolamide can reduce the formation of CSFHCO 3 ~ -. The H + generated in the formation of HCO 3 ~ - may be partially buffered by brain NH 3.